Annals for Hospitalists Inpatient Notes - The Future of Hospital-at-Home Care
Authors: Soumya Rangarajan, Grace Jenq
Journal: Annals of Internal Medicine (2022)

Web ExclusivesDecember 2022Annals for Hospitalists Inpatient Notes - The Future of Hospital-at-Home CareSoumya Rangarajan, MD, MPP and Grace Jenq, MDSoumya Rangarajan, MD, MPPDivision of Geriatric and Palliative Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan (S.R., G.J.).Search for more papers by this author and Grace Jenq, MDDivision of Geriatric and Palliative Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan (S.R., G.J.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-3159 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Hospital at home (HAH) has been extensively studied in many countries since the 1970s. Numerous randomized controlled trials of HAH, including those at Johns Hopkins Hospital and Brigham and Women's Hospital, have shown the safety and efficacy of hospital-level care delivered in the home. These studies show that HAH programs result in similar lengths of stay, quality of care, safety, and patient experiences as typical inpatient hospitalizations, while delivering increased patient physical activity, decreased cost, and decreased 30-day readmission rates (1). Hospital at home has become the standard of care in several countries, including the United Kingdom and Australia. In ...References1. Levine DM, Ouchi K, Blanchfield B, et al. Hospital-level care at home for acutely ill adults. A randomized controlled trial. Ann Intern Med. 2020;172:77-85. [PMID: 31842232] doi:10.7326/M19-0600 LinkGoogle Scholar2. Montalto M. The 500-bed hospital that isn't there: the Victorian Department of Health review of the Hospital in the Home program. Med J Aust. 2010;193:598-601. [PMID: 21077817] CrossrefMedlineGoogle Scholar3. Leff B, Burton L, Guido S, et al. Home hospital program: a pilot study. J Am Geriatr Soc. 1999;47:697-702. [PMID: 10366169] CrossrefMedlineGoogle Scholar4. Mooney K, Dumas K, Fausett A, et al. Oncology hospital at home in rural communities: the Huntsman at Home rural experience. J Clin Oncol. 2022;40 suppl:1535. doi:10.1200/JCO.2022.40.16_suppl.1535 CrossrefGoogle Scholar5. Adashi EY, Cohen IG. Acute Hospital Care at Home in Medicare-will a pandemic policy be sustained? JAMA Health Forum. 2022;3:e222564. [PMID: 36218980] doi:10.1001/jamahealthforum.2022.2564 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Division of Geriatric and Palliative Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan (S.R., G.J.).Disclosures: Authors have reported no disclosures of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-3159.Corresponding Author: Soumya Rangarajan, MD, MPP, Division of Geriatric and Palliative Medicine, Department of Internal Medicine, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48109; e-mail, [email protected]umich.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - December 2022 David H. Wesorick Metrics December 2022Volume 175, Issue 12Page: HO2-HO3KeywordsHome hospitals ePublished: 20 December 2022 Issue Published: December 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...